The prevalence of venous thromboembolism (VTE) after total joint arthroplasty (TJA) is 0.40%-1.2%. Trends in TJA are for shorter hospital stays with lower complication rates. aim this study to evaluate whether length stay (LOS) associated risk a thromboembolic event TJA.This was retrospective patients undergoing during 2013-2017 at Louisiana and Texas hospitals. Univariable analyses multivariable logistic regression examined patient characteristics (sex, race, age, body mass index, Charlson...

Introduction: With the increasing demand for total knee arthroplasty (TKA), rapid recovery protocols (RRPs) have been introduced to reduce costs and length of stay (LOS). Little is known about effects RRPs on postoperative range motion (ROM). Methods: We reviewed medical charts 323 patients who underwent primary TKA performed by a single orthopaedic surgeon at university-based tertiary care safety net practice. Of patients, 129 were treated with standard protocol (SRP) between January 1,...

The incidence of contralateral prophylactic mastectomy (CPM) for unilateral breast cancer (UBC) has continued to increase, despite an absent survival benefit except in populations at highest risk developing (CBC). CPM rates may be higher rural but causes remain unclear. A study performed our institution previously found that 21.8 % patients with UBC underwent from 2000 2009. This aimed evaluate the trend a single serving population and identify rate average-risk patients. Retrospective...

Breast cancer-related lymphedema (BCRL) is a lifelong condition that can impact the quality of life, affecting approximately 20% breast cancer patients. Risk factors for development BCRL after mastectomy in rural populations have not been studied. Retrospective review patients from 2017 to 2021 was performed at single institution. Statistical analysis included logistic and linear regression models. 475 were included, 40 (8.4%) diagnosed with BCRL. Increased odds developing significantly...

Millions of Americans have hepatitis C and other liver diseases, many whom end-stage osteoarthritis requiring total joint arthroplasty (TJA). This study aimed to determine the extent which diseases are independent risk factors for complications, including readmission reoperation, in patients undergoing TJA.Retrospective a REACHnet data set containing demographics, International Classification Diseases (ICD) Current Procedural Terminology (CPT) codes, clinical laboratory who underwent primary...

Background: Antibiotic agents have been shown to improve outcomes in open extremity fractures. The first-generation cephalosporins, which are used most often, often under-dosed based on weight and recommended frequency. Ceftriaxone offers a broader coverage decreased frequency of administration. Our institution began utilizing ceftriaxone for fracture management 2017 address those concerns. Objective: To examine the efficacy cefazolin versus trauma. Patients Methods: Retrospective study from...

Factors that influence breast reconstruction after mastectomy have been previously examined in national databases. The purpose of this study was to determine the impact patient travel distance and income on a rural population.Retrospective review patients from 2017 2021 performed our prospectively enrolled tumor registry. Analysis included frequencies percentages, descriptive statistics, χ2 analysis, independent sample t tests, multivariable analysis.In total, 462 were included. Median BMI...

The risk of women developing breast cancer after augmentation mammaplasty may be lower than the general population, with minimal current literature on reconstruction in this population. We sought to evaluate impact previous postmastectomy reconstruction.Retrospective review patients who underwent mastectomies from 2017 2021 at our institution was performed. Analysis included frequencies and percentages, descriptive statistics, chi-square analysis, Fisher exact test.Four hundred seventy were...

Procalcitonin has been investigated as a marker for bowel ischemia. This study examined the role of procalcitonin in predicting failure non-operative management (NOM) obstructions. Patients with obstructions at single center from August 2022 to January 2023 were prospectively enrolled (n = 79). Lactic acid (LA) and collected after surgical consultation. The primary outcome was success or NOM. Univariate analysis, multivariable logistic regression, performance measures LA ischemia performed....

Up to 25% of people with diabetes develop a diabetic foot ulcer (DFU) during their lifetime, which precedes approximately 85% nontraumatic lower limb amputations. Diabetic salvage has been at the forefront recent research, as major amputation is associated 5-year mortality rates 52%-80%. We sought determine if ambulatory status before DFU diagnosis predictive amputations and outcomes within 1 year, no studies have directly examined this relationship.A retrospective review patients diagnosed...

The governor of Tennessee issued an order on March 30, 2020, directing Tennesseans to stay home in response the COVID-19 pandemic. Recent studies demonstrated a decrease emergency department (ED) visits and trauma during We wanted see effect pandemic East population presentation patterns outcomes. at American College Surgeons-verified Level-I center was examined 6 months before after stay-home executive issued. data included demographic information, patient disposition, complications,...

With the growing use of endovascular aortic repair for aneurysm pathology, multiple cases have been reported associated graft infections. Explantation infected endograft and revascularization procedure performed should be individualized with attention to offending organism. We present two patients who underwent same developed a infection Burkholderia cepacia, gram-negative organism low virulence. Both endografts cultured cepacia complex; however, organisms were genetically tested found...

Comparison of microsurgical reconstructive options after mandible resection is limited in the literature. Fibula free flaps (FFFs) can be costly and have timing limitations, but dental restoration performed, with varied reported rates completion. The radial forearm flap (RFFF) plating may an alternative select populations. purpose this study was to determine if RFFF has similar outcomes FFF for reconstruction a rural population. A retrospective review patients who underwent mandibulectomy...

Carotid body paragangliomas are the most common extra-adrenal paraganglioma and arise from carotid at bifurcation of internal artery external artery. The differential diagnosis for a cervical mass in this region includes vagal paraganglioma, jugulotympanic middle ear adenoma, meningioma, schwannoma, thyroid malignancy. This case describes an otherwise healthy 23 year old female who presented with right neck pain, swelling, difficulty swallowing, intermittent left arm weakness numbness....